Organization Active NPI

Welltower CCRC Opco LLC

  • Assisted Living Facility
  • Charlottesville, VA
National Provider Identifier
1750888145
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
WELLTOWER CCRC OPCO LLC
Practice address
2600 Barracks Rd
Charlottesville, VA 22901-2271
Phone
(434) 963-4198
Fax
(804) 963-4108
NPI assigned
Apr 11, 2018
Organization subpart
Yes
Parent organization
WELLTOWER CCRC OPCO LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Tony J. Harris
Title
Senior Reimbursement Manager
Phone
(703) 854-0830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

2600 Barracks Rd
Charlottesville, VA 22901-2271

Mailing address

2600 Barracks Rd
Charlottesville, VA 22901-2271
Phone (434) 963-4198

Other practice location 1

100 Colonnades Hill Dr
Charlottesville, VA 22901-2204
Phone (434) 963-4198

Other names 2

  • The Colonnades Doing business as
  • The Colonnades Health Care Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2224110The Colonnades2600 Barracks Road, Charlottesville, VA 22901Certificate of waiverMay 11, 2027

National Provider Directory

National Provider Directory
Tax ID family
Welltower CCRC Opco LLC4 organizations share this tax ID, including this one
Part of
Welltower CCRC Opco LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1750888145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 BARRACKS RD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229012271",
            "telephone_number": "434-963-4198",
            "fax_number": "804-963-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 BARRACKS RD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229012271",
            "telephone_number": "434-963-4198",
            "fax_number": "804-963-4108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Colonnades Hill Dr",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229012204",
            "country_code": "US",
            "telephone_number": "434-963-4198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLTOWER CCRC OPCO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLTOWER CCRC OPCO LLC",
        "enumeration_date": "2018-04-11",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "SENIOR REIMBURSEMENT MANAGER",
        "authorized_official_telephone_number": "703-854-0830",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Colonnades",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Colonnades",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Colonnades Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.